Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Sharon V. Myers

Chandler,AZ

Summary

Seeking employment with a company where can grow professionally and personally. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

10
10
years of professional experience

Work History

Patient Access Representative II

Express Scripts/ Cigna Corporation
08.2019 - 04.2023
  • Performs all aspects of electronic claims process and rejection resolution
  • Ensures accounts requiring authorizations and re-authorizations are identified, secured, and updated in RXHome prior to each shipment
  • Notifies as appropriate if authorization cannot be obtained
  • Contacts benefit providers to gather policy benefits/limitations to ensure services provided will be reimbursable(e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)
  • Provides inbound and outbound phone call support to prior authorization team giving personal attention to resolution of customer issues having to do status of letter requests or physician review process
  • Negotiates pricing for non-contracted payers and authorizes patient services and ensures proper pricing is indicated in RxHome,(software) works referrals.

Patient Care Advocate

Express Scripts/ Cigna Corporation
08.2017 - 04.2019
  • Handle inbound and outbound member, provider and physician calls.
  • Answer questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable
  • Maintain accurate and complete documentation of all inquiries in order to continuously improve customer service process and reduce potential legal concerns
  • Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety.

Assistant Teacher

Goddard School
03.2016 - 07.2017
  • Develop program for children within preschool.
  • Talk with parents about behavioral ups and down. Discuss developments with Parents.
  • Promote literacy and early education
  • Establish Policies and procedures for inside and outside classroom.
  • Monitored and reported student progress and development, offering mentoring as needed
  • Completed daily reports, meal count sheets, and attendance logs
  • Supported student physical, mental, and social development using classroom games and activities

Cashier

Mekong Plaza Supermarket
12.2015 - 03.2016
  • Scan items and ensure pricing is correct.
  • Memorized 200 codes for vegetables and fruits
  • Take money in form of cash
  • Built relationships with customers to encourage repeat business
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels
  • Worked flexible schedule and extra shifts to meet business needs
  • Welcomed customers and helped determine their needs
  • Helped customers complete purchases, locate items, and join reward programs

Sales Manager

Fashion Shanghai Business Consulting Ltd
01.2013 - 07.2014
  • Established and cultivated solid business relationships with new or existing customers
  • Managed accounts to retain existing relationships and grow share of business
  • Demonstrated products to show potential customers benefits and advantages and encourage purchases
  • Ensure shipment quality
  • Sourcing of suppliers in China.
  • Managed revenue models, process flows, operations support and customer engagement strategies
  • Find out and solve problem for deliveries.

Education

Computer Secretarial

Caloocan Polytechnic College
Manila, Philippines
1999

High School Diploma -

Caloocan High School
Manila, Philippines
1997

Skills

  • Guest Inquiries
  • Customer Transactions
  • Verbal and Written Communication
  • Order Packaging
  • Scanner Operation
  • Order Verification
  • Money Handling
  • Order Taking
  • Credit and Cash Transactions
  • Cash Counting Machine Operations
  • Customer Assistance
  • Customer Service Excellence
  • Price Identification

Languages

tagalog
Native or Bilingual
English
Native or Bilingual

Timeline

Patient Access Representative II

Express Scripts/ Cigna Corporation
08.2019 - 04.2023

Patient Care Advocate

Express Scripts/ Cigna Corporation
08.2017 - 04.2019

Assistant Teacher

Goddard School
03.2016 - 07.2017

Cashier

Mekong Plaza Supermarket
12.2015 - 03.2016

Sales Manager

Fashion Shanghai Business Consulting Ltd
01.2013 - 07.2014

Computer Secretarial

Caloocan Polytechnic College

High School Diploma -

Caloocan High School

Similar Profiles

CREATE PROFILE
Sharon V. Myers